Organization
BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC
Active
Other names
BON SECOURS - TUCKAHOE ORTHOPEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR GAY (CFO)
(864) 605-3762
Entity
Organization
Contact information
Practice address
8220 MEADOWBRIDGE RD STE 202, MECHANICSVILLE, VA 23116-2340
(804) 285-2300
(804) 417-5960
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969
(804) 627-5000
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
08/17/2023
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